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Jev Clark — NPI 1558622936, Salem, OR | NPI Central

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NPI 1558622936

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Jev Clark

NPI 1558622936 · Oral and Maxillofacial Surgery (Dentist) · Salem, OR

Provider details

NPI number: 1558622936
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Sex: Male
Sole proprietor: Yes
License: D10561 (OR)

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112XLicense D10561 (OR)
Dental Providers

Practice location

2266 Mission St Se

Salem, OR 97302-1267

Phone: (503) 375-2000

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

2266 Mission St Se

Salem, OR 97302-1267

Additional practice locations (2)

1040 24th Ave Sw
Albany, OR 97321-7539
Phone: (541) 924-9000
2125 Nw Professional Dr
Corvallis, OR 97330-3886
Phone: (541) 757-1566

Registry dates

Enumerated: 2012-06-01
Last updated: 2021-10-18
Certified: 2021-10-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.